Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Timothy Donnelly

Individual provider Physician Assistant · NPI 1740364215

Timothy Donnelly is a Physician Assistant in Glenville, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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Practice location Address checks out

79 Glenridge Rd
Glenville, NY 12302-4523
Phone: (518) 952-8142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 000303 (NY)

Record details

NPI number1740364215
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESJuly 8, 2007

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